2. Junior Practitioner Learning Package Dr Bronwyn Avard, July 2010

3.  To understand the physiological principles underlying mechanical ventilation  To know the different terminology associated with mechanical ventilation

4. Please complete pre-test before proceeding with learning package http://www.surveymonkey.com/s/ventilation_juniorpack_pretest

8. INVASIVE VENTILATION NON-INVASIVE VENTILATION

9. INVASIVE VENTILATION NON-INVASIVE VENTILATION CPAPBIPAP TIME PRESSURE 5cmH 2 O 10cmH 2 O

10. INVASIVE VENTILATION NON-INVASIVE VENTILATION controlledspontaneous volume control pressure control pressure support (PCV)(PS)(SIMV)

11. INVASIVE VENTILATION NON-INVASIVE VENTILATION pressurevolume controlledspontaneouscontrolled (PCV)(PS)(SIMV)

13.  Volume-control ventilation TIME VOLUME

14.  Volume-control ventilation - SIMV TIME VOLUME

15.  Pressure-control ventilation TIME PRESSURE

16. TIME PRESSURE 5cmH 2 O 10cmH 2 O

17. TIME PRESSURE 5cmH 2 O 15cmH 2 O Peak inspiratory pressure  Pressure = 10cmH 2 O PRESSURE SUPPORT SET : pressure support 10cmH 2 0 & PEEP 5cmH 2 O

18. TIME 10cmH 2 O 20cmH 2 O  Pressure = 10cmH 2 O PRESSURE SUPPORT SET : pressure support 10cmH 2 0 & PEEP 5cmH 2 O

19. TIME PRESSURE 5cmH 2 O 15cmH 2 O PRESSURE CONTROL SET : PIP 15cmH 2 0 & PEEP 5cmH 2 O  Pressure = 10cmH 2 O

20. TIME PRESSURE 5cmH 2 O 15cmH 2 O PRESSURE CONTROL SET : PIP 15cmH 2 0 & PEEP 10cmH 2 O  Pressure = 5cmH 2 O

21. TIME PRESSURE 5cmH 2 O 15cmH 2 O BiPAP SET : IPAP 15cmH 2 0 & EPAP 5cmH 2 O  Pressure = 10cmH 2 O

22. TIME PRESSURE 5cmH 2 O 15cmH 2 O BiPAP SET : IPAP 15cmH 2 0 & EPAP 10cmH 2 O  Pressure = 5cmH 2 O

24.  Triggering  Inspiratory time  I:E ratios

25.  Triggering  Flow or pressure change  Inspiratory time  I:E ratio

26.  Triggering  Inspiratory time  Default 1.7 seconds  Often reduced (1.2 seconds more comfortable)  I:E ratio

27.  Triggering  Inspiratory time  I:E ratio  Usually ~1:3  When adjusting inspiratory time check I:E ratio  Check not accidently ventilating with inspiratory time longer than expiratory time  Disease-specific

28.  Oxygenation  FiO2  PEEP  Carbon dioxide  Respiratory rate  Pressure/volume

30. http://www.surveymonkey.com/s/ventilation_juniorpack_posttest